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Can Postinor cause delayed period?
Patient: What is the cause of delay in period when on postinor 2? is suppose to come out by 24th of jan 2014.btw 29th to 24th I took postinor 2 twice in 2wks,today is 26th of jan 2014 I haven t seen my period yet.can it be the that s delaying my period? ... Ask a Doctor Now » Doctor: Hello dearUnderstand your concernYes Postinor cause delay in the period as it cause hormonal imbalance (high chance as you took two times in week).Hormonal imbalance occur due to high progesterone in the postinor 2.High progesterone prolong the second phase of cycle and cause delay in period by 5-7 days.So do not worry, your period will come in next 4-5 days.But if period will be delayed by 10-12 day then possibility of pregnancy as postinor 2 has some failure rate (5-10 %). In long delay go for pregnancy confirmation by HPT and or blood HCG.Hope this may help youBest regardsDr. Sagar
223,992
Should an i-pill be taken as a precaution?
Patient: I m an 18 year old virgin. Do you recommend taking an i pill, since there wasn t any penetrative sex involved but the genitals did come In contact, we re rubbed against each other. This happened less than an hour ago. Is it safe to take one pill just as a precaution? Doctor: Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I appreciate your concerns.The preejaculate fluid (precum) does contain few sperms. As the genitals did come in contact ( even though there was no penetrative sex), there is a small possibility of pregnancy if this is your fertile period now. When was your last period?Therefore take Ipill immediately. Ipill taken within 24 hours is 95% effective in preventing pregnancy. Ipill does not have any long term side effects. so don't worry.Please consult your doctor and start using regular contraceptive pills. They are more effective than Ipill in preventing pregnancy. If you think you are at risk of STD's barrier contraceptives like condom should be used during sex.I hope this is helpful.If you have further concerns, I will be happy to answer.Best wishes,Dr Rama
223,976
Severe weight gain on the abdominal area due to depo provera injection. Not getting regular periods. What to do?
Patient: Hi! I have gained weight on my abdominal area due depo provera injections , Its been 6 months since I've discontinued and also tried had through all means such walking dieting yoga etc but it is not reducing also since I was on it I would not get my periods ,Till date I have't got them . I had My last depo provera shot in september last year 2012 Doctor: Hi.Thanks for asking in Healthcare Magic.The return of menstruation after a progesterone injection like Depo Provera is usually delayed. The cycles take many months to normalize and sometimes there may be complete suppression of periods.The increase of weight in the abdominal area is due to bulky uterus. Normally during period, the endometrial cells of uterus proliferate (multiply) resulting in thickening of endometrium (inner lining of uterus) due to the action of estrogen. When menstruation starts this endometrium is shed out as clots and the uterus reverts back to the normal size.Since you have not got the periods, the thickened endometrium has resulted in bulky uterus. Also the hormonal imbalance due to absent period has added to your problem of weight gain. An ultrasound of uterus will reveal the size of uterus and the the endometrial thickening. Since endometrial proliferation can be either simple or can result in problems like cancer, you should visit a gynecologist for a proper evaluation and to rule out problems like cancer.I hope this is useful.
226,113
Suggest treatment for Sarcoma Cancer from lungs
Patient: Dear Sir, Mr. Rishav Srivastava 17 Years old boy is suffering from Alveolar Soft Part Sarcoma Cancer in left hand wrist. As it is 1.5 years old so metastatically sprayeded in Lungs. As per mention Chemotherapy details Doxorubicin drug is given in three cycles but after evaluation by CT scan of Thorax, it has found it does not removed Nodules and Tinny nodules from Thorax (Left/Right Lungs) nor effect on primary place. So, Lungs/Thorax Doctor has denied for lungs surgery due to none effect of Chemotherapy. Present Treatment: 1. Now Chemotherapy Doctor has recommended for Interferon Alpha 2b 5mu for alternate day up to Two months and 2. At primary place (Wrist of right hand) radiation is going on. Requirement: Any treatment beyond this which will affect to remove Alveolar Soft Part Sarcoma Cancer from Lungs. Hope for your kind evaluation and suggestions please. Regards Rajeev Kumar Srivastava 0000 Doctor: Hi. Alveolar soft part sarcoma is a very rare cancer and there is limited experience because of very few patients world wide.Since the disease of Mr. Rishav Srivastava is metastatic, cure is probably not possible.If I am treating him, I will advise sunitinib tablet.Radiotherapy to primary is indicated if there is pain or bleeding at primary sit not controlled by conservative measures.I do not know of any evidence of benefit of Interferone Alpha in this disease.Hope I have answered your query. If you have any further questions I will be happy to help
156,397
What does a lump on the lower leg indicate?
Patient: I have started walking - trying to speed walk. I have a tight, hard spot on the lower left leg. Feels like a tight muscle. It is not read, but it is slightly larger than my other leg. What should I do for this? Or is this something I should see my doctor forI mean it's not "red". Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* There are different issues which may present as - wart - hematoma or cellulitis - sebaceous cyst or lipoma - others* Must visit your doctor and get clinical examination .Hope this will help you for sure .Wishing you fine recovery .Welcome for any further guidance .Regards .
61,207
Why did application of Anne French cause bleeding in genitials?
Patient: Hi I used Anne French creams to clean my genital hairs .I have put it on for 20 mins....when I swipped away hairs I got some bleeding on some area .n after the surface got red.like blisters ..these gives hot sensation n...pain while moving n walking. Please suggest what ointment I shuld apply n which medicine should I take. Doctor: Hello. Thanks for writing to us at healthcaremagicYou have developed Irritant Dermatitis to the hair removal cream, likely because you left it for too long. Redness, blisters, burning sensation are all part of the dermatitis.As a general instruction hair removal creams should be applied for 4-5 minutes and the time should never exceed more than 10 min.If I was the treating doctor, I would have asked to use a moderately potent topical steroid e.g fluticasone propionate 0.05% cream, twice daily for a few days.Steroids are antiinflammatory and would help resolve the dermatitis. These are prescription drugs and I would suggest that you talk to your dermatologist for the needful.An OTC oral antihistamine e.g cetrizine 10 mg once daily would also be useful and help resolve the dermatitis.Regards
8,368
Suggest medication for panic attack and chest pain
Patient: hi i m Neo im 24 years old and i weigh 99kg i m 1.7m i recently developt short breaths and i cough too much at first thought it s flu but its been long nw when i go to the doctor she tells me i might be having a panic attacks but still, now i have a pain in my chest its like a heartburn, just the discornfot in my chest.. please advise what must be done doctor. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. From your description, I am to believe that you are having panic attacks and not nerve related problems. You should also understand that panic attack often show palpitation, sweating, restlessness and general uneasiness. If this is panic attack, you need not to worry. The problem started just a few days back. Means if you are treated properly, you can be cleared. Treatment starts with basic psychological counseling and then mild psychotherapy techniques. Psychiatry intervention may not be necessary at this point.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
208,311
How to treat hair loss?
Patient: hello , m a 21 yr old female n i have been suffering from hair loss from the last 3yrs.. i have lost my volume and shine totally. i uesd to live in a hostel and my diet was not proper at all , also the climatic conditions werent good and i used be knida depressed about my surroundings.. Doctor: Hi.Hair-fall in your age group is usually due to vitamin and iron deficiency.So My advice is-1. Have a high nutritious diet- milk, green leafy vegetables, pulses.2. Be stress-free ... Stress will only increase hair fall3. Start taking iron tablet (livogen-z) once daily and vitamin b12 tablet (Nurokind od) once daily and Vitamin D3 once a week (calcirol)4. Use plain coconut oil twice a week and good herbal shampoo twice a weekFollowing this advice will help u get satisfactory results in 8-10 weeks.ThanksDr.Harshit BhachechDermatologist
10,743
What is the cause for delayed surgery on the foot?
Patient: My husband was due to have surgery recently and it was cancelled at the last minute due to his heart medication. He recently had 2 stents in his heart. It has something to do with platelets and has been told he will have to wait 6 months until he can operation (elective surgery on foot) Can you please explain. Regards Judy Doctor: Hello, As what I understand by history is that your husband is having a cardiac issue and low platelet count. So let's take this first. Unless and until the cardiac fitness certificate is obtained by the cardiologist no surgery can be performed. Next, we need to keep a gap between the stent surgery and orthopedic procedure. Platelet has a role in stopping the blood overflow. Less number of platelet in the blood can lead to massive danger to the patient by losing more blood and no healing. The situation can be dangerous so no surgeon would operate until the platelet is in normal values. Now doing operation late is not an issue if it's just a fixation. The limb will be kept immobilized within the cast till the cardiac certificate is obtained and platelet comes to normal values. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
124,335
What relieves the symptoms of acute Bronchitis?
Patient: Hi, I have suffered before one month a heavy strike of shortness in breathing and after consulting my doctor and taking my xrays he diagnosed my case by having acute bronchitis and he prescribed for me antibiotic for 10 days and I became good. But after two weeks I felt again with same symptoms and I just went back to the doctor and gave me another antibiotic for one weak. Now I have been done with my second course of antibiotic for ten days and still feeling with little heavy breathe and cramp in my neck and headache in the back of my head with little dizziness . My doctor regarded that to recovery from my disease. But still am not comfortable with that short hearths and pain in neck and back of head. Anyone can help me . Regards and thx in advance. Doctor: Hi hanks for asking question.You have diagnosed with bronchitis.Do your CBC count during fever.If neutrophilia then it suggest bacterial infection.If lymphocytosis then suggest viral and if eosinophilia then allergic bronchitis could be cause.If breathing problem severe then nebulization with levosalbutamol and budesonide can be taken at that time.Steam inhalation useful.Garlic, onion , ginger are some good herbal product for soothing respiratory tract.If still your condition increasing this type then repeat x ray done to see for secondary development of pneumonia consolidation or interstitial lung disease.Wish you good health.Take care.
77,361
Suggest treatment for sharp pain around left heel
Patient: i had a surgrey on my left big toe, which i was told that it was a ganglion.but when it started i was feeling sharp pain around my left heel.as the surgrey has been done for a month now, i still feels the pains. please doc. am asking if there is any medication for it thus(plantar fasciitis). Doctor: Thank you for your question on HCM.Plantar fasciitis is inflammation of a layer of fascia which has a protective function in our body.it mainly acts as a shock absorber.I would suggest you sshould avoid long hours of standing or straining your feet, avoid wearing tight footwear and most importantly i suggest you take a hot tub of water and add rock salt to it and soak your feet in this for as many number of times ass you can in a day.thiss will definitely provide you some relief.In case of severe pain you can take tab Etova P upto two times a day.Hope this information was helpful.Regards,Dr.Radhika
217,118
Suffering from Hepatitis C, liver infected, stomach upset, mouth ulcers. What are treatment options?
Patient: My mother aged 48 is suffering from Hepatitis C. Her Liver is also infected so she was not advised for interferon therapy.Now She gets temperature occasionally, her stomach mostly remains upset.These days her platelets have been reduced to only 30,000. She has got mouth ulcer which bleeds horribly in the night. What should we do?Kindly tell me is there any way to get the hepatitis C virus eliminated from her body? what would be the right strategy for her treatment for her under new researches.We just want our mother healthy. Doctor: Hi, thanks for the query. Hepatitis "C" is not not a serious disease till it infect liver( Cirrhosis & Liver carcinoma), hence you have mentioned that your's mother liver has infected, what it means? Please specify as above mentioned. Before diagnosis, I think your's mother has gone through courses of many medicines and due to some disease and some drugs she might have develops mouth ulcers. 1. Improve the general condition of your mother at once as BP=120/80. PULSE=80-85,Respiration 16-20 (24), Temp37 f. Maintain these parameters for 3-4 days under the supervision of a doctor. For platelets (30,000) infuse a bottle of platelets. if need two three. Now again try interferon and rabvirin after the consultation of some doctor. Still there is not improvement and stage is very dangerous , please get liver transplant. This is last treatment. Best wishes for your beloved mother and good luck for speedy recovery. Dr. HET.
59,243
What does ESR rate of 80 and enlarged spleen in infants indicate?
Patient: My baby was born with asd and vsd. At 12 weeks he was hospitalised with bronchilitis. At 7 months he had parainfluenza 3. His liver and spleen were enlarged and had esr of 110. He is better now but these tests were done as he was getting better. 3 weeks after the tests were repeated his esr is 80 and his spleen is still enlarged. Should we be worried as he just doesnt seem right? Doctor: Hi...ESR can take longer time to settle and so do not worry about it. Spleen enlargement also can take longer time to regress during recurrent viral illness like this. But I do not understand what you mean by - he just doesnt seem right?Please clarify and get back. Regards 0 Dr. Sumanth
177,694
How to wean off Paroxetine and Clonazepam?
Patient: i am 47 year old men i am suffering from general anxiety disorder .i am feeling thartharahat sweating blurd vision ,stomuch fullness , i diagnosed fatty lever grad 1 in 2017. i am taking paroxetin cr 12.5 since 2012 with chlonazipam 0.5 od now i want to tapper medicine(pexep cr 12.5) but after 5 days to stop the medicine i feel a vibration in haead and body. sir i am wraping tobaco paste gudakhu from 20 years now i want to stop medicine and tobaco paste kindly help me. Doctor: hiyou have probably - ssri with benzodiapine with nicotine use diaorderthere are 2 modes of therapy1. substitutionhere we substitute tobacco with a nicotine lozenges 4mg twice or thrice a day and add bupropion extended release 150mg to act on both craving and anxiety2. de addiction with admissionan indoor therapy where we stop all the substances and get de addiction done with iv fluid and other medicinal supportthank u
204,932
What action should be taken for being in contact with a active tuberculosis patient?
Patient: My son, 2 years old, had a contact with Active Tuberculosis Patient for around 15 days. At that time, treatment for TB was not started because the disease diagnosed later. He got BCG vaccination at birth. My doctor suggests that a Chest X-Ray & Mantoux Test for checking. Is it all right? What other action should I do in this regard? Doctor: Hi....your pediatrician is right. Your kid needs to have a Mantoux test and a Chest X-ray done. This is the routine protocol for any kid who is less than 5 years who comes into contact with an active TB patient. I to suggest you go ahead with the same and get back to your pediatrician. But only once important suggestion is that - the Mantoux test has to be done at the strength of 1 or 2 TU and not at 5TU. Higher TU will result in false positive results.Regards - Dr. Sumanth
173,649
Treatment for Neurofibroma in homeopathy or Ayurvedic
Patient: I am surya From INDIA, Really there is atreatment for Neurofibroma in HOMEOPATHY or Ayruvedic Doctor: Hi! Welcome to HCM. Mostly doctors advise Neurofibroma to have surgery but before going under the knife you should consult a homeopathic doctor who will get symptoms and then he will be able to advise the suitabe remedy for this. There are so many remedy to this kind of disease. Dr.Khalid Minhas [email protected]
152,040
What causes stabbing pain on left side of chest?
Patient: Hi, whenever I drink coke or diet coke and eat regular chocolate I get a stabbing pain on my left hand side of my chest. It only lasts a couple of seconds but it is very uncomfortable. I thought it was sugar related but I can eat crisps and sweets and it does not effect me. Any idea what could be the cause of this. Thank you. Doctor: Thanks for your question on HCM. Since your pain is related to drinking coke and eating chocolate, I think isis due to hyper acidity. As both coke and chocolate can increase gastric acid secretions.And as a rule in left sided chest pain, we need to rule out cardiac cause first. So get done ECG. If this is normal than stabbing pain must be because of hyper acidity. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid chocolates and coke if possible.
81,809
Severe body ache, fever, chest congestion, swollen glands, nasal congestion, yellow sputum. Medication required?
Patient: Two days ago I went to the doctor because I had severe body aches, fever of 102.4, chest congestion, swollen glands in neck and top of chest, headache, chills, and malaise . He did a flu test and it came back negative. Prescribed Omnicef for the chest congestion, I have asthma, so this is his usual course of treatment for chest congestion with me. Now, my fever is around 99.5, very sore throat, hacking cough with production of thick yellow and sometimes chunky sputum , nasal congestion with thin yellow mucous, malaise, mild headache, mild body aches. Temp is improving but it seems like chest congestion is getting worse. Any suggestions? Doctor: the allergies are increased sop antibiotics take only anti allergics tab singular 10 mg tds tab fexofenadine 120 mg bd syp ventrlin 1/2 tsf tds syp tossex 1/2 tsf bd apply neosporin h eye ontment in nose bd sea water 2 drops at night in each nose add liquid antacid take meftal for fever sos do for 3 week
104,176
What causes pain in the jaw while speaking?
Patient: hello. I have recently been ill and sick, the last time i threw up my mouth didn't hurt but now evreytime i speak eat or drink it clicks just when i move my jaw backward's and faward's. How will i get back too normal again or is it like this forever, please help me! Doctor: Hi, read your query and can understand your predicament.Temporomandibular Joint disorders is the usually associated with the difficulty in eating and drinking and also there will be difficulty in movement of the jaws.I would suggest you to visit an oral surgeon at the earliest and get it treated at the earliest to avoid more complications.I would suggests a few possibilities to reduce the pain like:*Painkiller like ibuprofen and muscle relaxant can help relieve the pain.*Eat soft food and avoiding sticky food .*Avoiding excess jaw movements during yawning,eating.*Applying warm, moist heat or ice to the side of your face may help alleviate pain.*Gentle jaw exercises will also help.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Thanks and regards.
182,410
What is the cause of stomach pain,vomiting and numbness in the right arm?
Patient: My 20 year old son eats nothing but pizza and fast food burgers, Last couple of days has been complaining of pain on right side that goes across top part of stomach. Has vomited been shaky and right arm numbing with tingling in fingers. We have no doc. Doctor: Hello,I understand your concern.I am Dr Arun Tank, Infectious diseases specialists, responding to you.There is possibility of dehydration caused by vomiting. Dehydration can cause such tingling and numbness. I advice you to take ORS, it will boost up the electrolyte and so numbness will be decreases.I will be glad to answer your further query. Thank you for your contact to health care magic.Wish you a best health.Thank you,Dr Arun Tank.
37,451
Pain in side, warm sensation in legs, green stools, red bumps, penis pain. Taking Fluoxitine. Help
Patient: i been having wierd pains in my side and i think it is my liver but i also get them on my left, and i get this warm sensation in my legs not rlly warm just like the feeling your peeing yourself, and my stool has been a light green color for the past couples days and these little red bumps, they dont itch 24/7 but sometimes they do, i also used to pee alot and it felt like i was peeing myself, and it feels like my penis hurts just like a paiin but it doesnt hurt rllly bad though, and in my scortom i get a wierd tingling feeling. i been to the doctors and they put me on fluoxitine because they said i have a panic dissorder. pleasse help Doctor: Hi, it appears to be the amoebic infection of the intestines, most probably amoebic colitis. It will have a defuse pain of whole abdomen and legs. Urinary tract infection or stones in the urinary tract can have tingling in the scrotum. I advise you to consult a surgeon for diagnosis and treatment. You may need to have ultra sound scanning. Thank you.
58,771
Suggest treatment for small lump near scrotum
Patient: hi ii had a large spot/boil on my scrotum i squeezed it a few weeks ago as it was irritaiting me i thought it had cleared up but were the spot is connected to the scrotum skin there is a smallish hard lump.When i squeezed the spot only a thick type blood came out of it Doctor: Hi,It seems that you might be having ingrown hair follicle infection giving multiple boils like lumps.Go for one antibiotic medicine course for 5 days.Clean the part with antiseptic lotion and apply antibiotic cream.Keep local hygiene proper and well shaved.Ok and take care.
67,588
Is there any side effect of using MDMA for long duration?
Patient: Hi, I used to do MDMA frequently. My friends sister is a doctor and she says that frequent use of MDMA dries and stretches out your labia and some women often lose a lot of vaginal feeling, but so however become more sensitive. I m wondering if there is anything I can do/take to regain this feeling that I ve lost. Doctor: Hello,Over a week use for moderate doses it may cause:1. Irritability2. Impulsiveness and aggression3. Depression4. Sleep problems5. Anxiety6. Memory and attention problems7. Decreased appetite8. Decreased interest in and pleasure from sex.Hence, it is better to avoid taking this drug.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
83,732
What are the symptoms of lupus?
Patient: hi,i have these red circular shape and I get them randomly but theyre so painful , theyre debilitating, especially on my legs,i also get them on my hads and arms,also at times on elbow orknee,but mostly all the places on my legs,hands,arms,and then its extremely hard to move around or deal with,i was shivering this morning really bad and got these bumps also.do you have any idea what it would be?ive been to the er at times for different things like my stomach or my abdomen and more,they think its lupus, my mom had it but it went away Doctor: please get checked for LE cells. In ayurved this comes under Triyak Raktapitta over and above immunomodulatory blood prurificatory drugs like Sudarshana, Manjistha is helpful
82,625
What is the treatment for hay fever?
Patient: hi there,i've been having hay fever for a while now,so today, this afternoon i felt my nose was full of cattarh and decided to blow it,immediately i got really dizzy,never felt like that in my entire life before, and before i knew what was happening i was on my knees on the toilet floor puking my stomach out, i can also hear my ear sizzling loudly, and now i feel really weak,please what is wrong with me? Doctor: HI, thanks for using healthcare magicSinusitis can be associated with tinnitus (the noise in your ear), dizziness and nausea.It can be due to allergies or infection.The use of a topical steroid nasal spray would be important to help with your symptoms.This includes medications such as nasonex, nasocort, flonase, rhinocort.In addition, oral antihistamines and decongestants would also help.Decongestants can be oral or topical.If there is no relief then it is possible there may be a bacterial infection that would require antibioticsI hope this helps
33,165
Should I be worried about a strong back pain after falling down on back?
Patient: I fall down three days ago on my back, first I didn t felt much pain, yesterday I had pain in the middle part of lower back, but nothing strong, so I used the heathing path, and today I have strong pain in the right part of the back, and its not stopping the whole day. Should I be worried? Doctor: Hi, Thanks for using HCM.In my opinion you should stop worrying. For immediate relief have some pain killer along with a muscle relaxant and have proper bed rest for few days. Do not lie down on soft mattress use hard one instead, Do not strain your self or over exert. U can also apply some good anti inflammatory pain killer gel on your back. If the pain increases do some hot fermentation locally
111,627
How much equate pain relief should be given for a baby?
Patient: How much Equate pain relief should be given to 10 months old baby her weight is around 18 pounds. This is the first time she got fever in last 6 months and right now we measure it and it was 99.5 F. Today we gave her biscuits and after that there was one loose motion Doctor: You can give one fourth tablet for fever 6 hrly if fever goes over 100 f.If it is syp then u csn use 5ml syp 6hrly.
166,027
Suggest treatment for lump on eye brow after injury
Patient: Wacked my face really hard against a wall 3 days ago, specifically the right side above my eyebrow! No bruising but there is a lump on my eyebrow and right above. It is very painful, any face movement or eyebrow movement hurts all down the right side of my face! Could it be broken or do you think it is just bruised? Doctor: hi.based from your description, it's an inflammatory reaction from the trauma you recently obtained. the swelling will subside in 3-5days time. application of cold compress and pain medication may be of help to alleviate the pain. if symptoms persist and progress, a consult with your doctor is best for clinical evaluation.hope this helps.good day!!~dr.kaye
61,808
Does the ovulation date fluctuate for a person with regular cycle ?
Patient: Hello Doctor , My periods is on 26th June. I have 30day regular cycle. SO My ovulation should be on 9th to 11th July. But for me I sense it happened on 13th to 16th. Will it happen like that. IS it regular? Doctor: Welcome to Healthcare Magic You must understand, ovulation typically occurs on 14th day prior to next cycles. That means you ovulation will occur on Day 15 or 16. In any cycle always ovulation is 14 days prior to next periods. You can have unprotected sex for pregnancy chances during this time Day 15, 16, 17. GOOD LUCK !!!!
6,391
Does the post nasal drainage drip cause vomiting in a 8 year old?
Patient: Eight year old vomited in bed after being asleep. Didnt complai. Of any issues before bed, ate normal meals, played outside before bed. Has had nasal congestion for 2-3weeks. Also vomited last week early in morning, then remainder of day was fine-running around, eating, etc. Is is post nasal drip/drainage causing him to vomit? Hes been coughing A LOT at nite lately and has started to during the day for last 2 days. Doctor: Well come to HCMHIpost nasal drip in this age group is not likely and this could be allergic condition and if this is associate with the secondary infection then this need to be treated with anti-biotic some time such condition take little more time, hope this information helps.
179,339
What causes severe fatigue and pain in the hips?
Patient: hi I an a 53 year old woman and have been through menopause. I have been spotting and have fatigue and joint pain mostly in the hips that is quite painful. I have pain during sex and a history of polyps, cysts and endometriosis. I feel very weak and fatigued and full and upset stomach. I have made an appointment with my gyro but wondered what you thought based on my symptoms. Doctor: Hello, Severe fatigue and pain may be due to arthritis or osteoporosis or avascular necrosis or bursitis or post menopausal syndrome may present like this. Get it done MRI hip joint and bone scan, Thyroid status, serum cholesterol. If symptoms not improved, please consult your doctor, he will examine and treat you accordingly. Hope I have answered your query. Regards, Dr. Penchila Prasad Kandikattu , Internal Medicine Specialist
126,585
What causes pain in chest and breasts?
Patient: I have been getting pain on the left side of my chest for about 4 to 5 months now the pain has started to spread to under my breast and round my lung area with a bubbling sensation I getting that frightened I started taking phone to bed seen my gp they seem to think anxiety I not convinced Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out heart related chest pain because your pain is on left side. So consult cardiologist and get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo 4. Stress test (trade mill test). If all these are normal then no need to worry for heart diseases. Sometimes uncontrolled stress and anxiety can also cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
75,818
Suggest treatment for lower back pain
Patient: I've had low back pain for quite sometime now, I do hard manual labor so i'm guessing maybe it came from lifting something heavy, so I just shook it off. As time progressed i started developing a weakness in my lower left leg, and it feels like a (tingly) feeling in it, like it's falling asleep. It comes in goes, sometimes for like 5 minutes, sometimes 20m and I feel pain under my left buttock, knee, all the way down to my foot, my thigh feels like it's on fire sometimes. I went to get it looked at and my doctor told me it could be stress, but I don't think that's it, and that it could be sciatica, and now I have a small lump in my inner thigh (groin) feels hard, about as big as an olive, my doctor prescribed me with Naproxen and cyclobenzaprine I feel a little relief but it hasn't gone away, what could this be? Doctor: Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryI think you should have a MRI of the back as soon as possible. There may be a severe disc displacement in your case that may be causing the pain and the nerve symptoms like the tingling and the numbness that you are developing.If it is too severe, surgery may be recommended, and if it is less severe, a physiotherapy with mild muscle relaxants and milder painkillers may help you.As for the small lump, I would suggest an ultrasound of the area to know moreI hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.
111,415
What are the withdrawal effects of Trazadone?
Patient: I am bipolar and my N.P. changed my medication regime from Trazadone 100mg PO at bedtime to 15 mg Mirtazapine 7.5mg PO at bedtime. I do realize I would/will experience some effects as I have been using Trazadone for several years. I just want to know if what I am feeling is a normal and to be expected with this change. Concentration decreased, irritability increased, tremors worsening, and general sense of depressed mood. Doctor: in my opinion the ones u have mentioned are the withdrawal effectsslowly reduce and then stopmeanwhile relaxation therapy and sleep hygiene 8s useful
204,895
What causes enlarged tonsil?
Patient: Mt 2 year olds right tonsil has been enlarged for at least 2 weeks maybe more , as this is only when i noticed it.... the doctor said there is no infection about 10 days ago but it is so big it covers half her airway and she wakes up coughing and spluttering , is this something to be concerned about ?other than that she is very tired in the day i presume from waking in the night coughing , Also her very back teeth are coming through could this be causing it? Doctor: Hi, It's very hard that your child is not able to have peaceful sleep during the night. The most common cause for tonsillar enlargement is due to upper respiratory tract infection (Viral /Bacterial). But usually, both tonsils will be enlarged. Children, less than 5 years can have multiple episodes of upper respiratory tract infection and tonsillar enlargement. When tonsils are enlarged, it can obstruct the airway, there by causing sleep disturbances. If the symptoms are very frequent and disturbing your child's routine life, then it needs to be evaluated. There are few causes for unilateral enlargement of tonsils, such as infection and inflammation. I would suggest you get a pediatric ENT surgeon opinion, who can guide you further. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirubhan Bharathy, Pediatrician
162,049
Suggest treatment for neck injury
Patient: My 2 year old was playing and climbing at home last night and slipped backwards, causing her to tip her head backwards and bending her neck far enough that we heard a series of 4 pops (sounding like knuckles cracking). She immediately began crying and did so for about 3 minutes while we comforted her and then complained of neck pain for about 20 minutes afterwards, all while resuming playing with her toys, eating snack, and running around the house. I should note that she did NOT hit her head, as we were able to catch her in time, but her neck bent back pretty far. She went to sleep fine about an hour later, playing peekaboo and in a good mood. About 5 hours later, she woke up in the night (as she has been doing lately) and when she was walking around, we noticed she seemed stiff legged. When we asked her if anything hurt, she started touching her right leg and saying ow but also did the same thing with her left arm. She did not react to us touching either, nor did she react to us touching her neck at this point. Is this a sign of a neck injury that she could have suffered or is this to be expected after perhaps straining something? Our pediatrician s office opens in a few hours and we re planning on calling but have been nervous wrecks all night! Doctor: Thank you for following up.It seems she really hurts her neck, that's why we should differentiate bruising,fracture,tear of ligament and etc.For excluding fracture you should visit orthopedic doctor and do X-ray of cervical part of spinal cord in 2 proections or MRA according of diagnosis of doctor. She should stay in bed without pillow and be transported in bed position on the back with fixed head by special neck collar,for relief pain you can apply diclophenak gel or analgetic gel with anaestesinTake careDr.Svetlana
175,156
Suggest treatment for cough,eye infection and blocked nose
Patient: Hi I started with a stuffy blocked nose and a cough 6 weeks ago,i developed an eye infection and also had headaches and sinus pain in my nose which has now cleared up.i still have a slight cough which is worse in the mornings, when i cough i have pain in my right breast, do i need antibiotics, im worried about the pain in my breast when i cough, could this be a pulled muscle? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Due to long-term (chronic) or prolong coughing there is the commonly associated pain in chest or ribs. As cough is forceful exertion, so the muscles do get spasms. Don’t worry this pain will go away once your cough is settled. I would suggest you to take a cough syrup or expectorant if it’s with mucus, only to relieve cough, if you have no fever and any other symptoms besides a cough, you don't need to take any antibiotics.     Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Faeza Sherdil
31,874
Suggest treatment for painful cerebellar ataxia with neuropathy
Patient: My sister who is 69 years old has been diagnosed by an ER doctor with Cerebellum Neuropathy. She has seen many, many specialists over the past six years and no one has been able to diagnose or help her. She is in constant severe pain and is about to give up. Is there a treatment center or who should she see for help with this? Thanks Doctor: Hello, Cannot say in her particular case especially because cerebellum ataxia is quite variable in what it produces, but it seems like they found the diagnosis. In this disorder part of the brain goes away. That is not going to be fixable. There's a lot of nerve pain drugs such as lyrica, gabapentin, that work on the chemicals in the cerebellum. There's Cymbalta which is a bit of a long shot. There is anti-epileptics that damp down all brain activity starting with the most excited and annoying parts of the brain and spine. These probably were tried. Removal of a small part of the brain is an extreme option that is not always available. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist
215,515
What causes pain above left ear radiating to left eye?
Patient: Hey, Lately I have been having a headache that starts from above my left ear and radiates to above the left eye.Excitement also causes it to happen but it only last like for 10 minutes.The first 5 will be excruciating and then it slowly disappears.What could be the problem Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have dizzy spells,stiff neck and headache. Well there can be many reasons for symptoms you mention in query like giant Cell , arteritis , cluster headaches , migraine , trigeminal neuralgia or cervical spondylosis . I would suggest you to apply warm compresses on pain site and neck , do mind relaxing exercises and take ibuprofen or acetaminophen for pain . Consult neurologist for proper diagnosis . Doctor may order CT scan MRI and take history to confirm the diagnosis . Doctor may prescribe muscle relaxant , vasograine along with recommend stretching exercises of facial muscles . Doctor may also refer you to orthopedic surgeon for cervical problem . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
144,435
What causes blood pressure with high triglycerides?
Patient: hi, i am 40 years old, my tryglerides is above the normal level, everything is normal, my creatinine and sugar is also normal. i am taking fenoflex , losartan and metropolol for a month now, still my blood pressure goes to 130/80..what is my next option? Doctor: Hi! Thank you for using HCM .I would say that your blood pressure is back to normal , the treatement is doing good .About your triglycerides level We say that's a patient has a high triglycerides level when it's more than 200 mg / dl. The drug for triglycerides ( fenoflex) need time So we can take 100% of effect . The next step is to check you blood triglyceride after 2 month of treatement.Reduce fatty food in the diet , do exsercises .loose weight . Check the liver every 3-6 month.If the triglycerides levels are high your treating doctor will change the dosage of fenoflex or you may start anotheredication like statins .
23,815
When to take fertigyn injection during infertility treatment?
Patient: hi I am taking Infertility treatment. doc. prescribe me ubiphene 50 for 5 days in night, today is my 10 th day and i have started my ovulation study there are two folicals in my left ovary sized 21X22 mm and 13X14 mm, endometrium size is 6 mm, should I take fertigyn injection 10000 I.U today? I am of 27 yr. Doctor: Hi welcome to healthcaremagic.I have gone through your question.As fertigyn injection is prescribed to stimulate ovulation and will release all mature eggs.It should be taken on 13/14 th day,But i would advise to be taken under supervision and advise of gynecologist. Hope i answered your question.Would be happy to help you further.Take care.
41,702
Can there be chances of pregnancy while on birth control?
Patient: hello, me and my partner got a bit carried away last night, we didnt have a condom, but we still had sex for not very long, he pulled out before he ejaculated. Im worried about pre-cum, i do not know if he did or not, also im on the birth control patch, and have been for about a year now, is there any chance of me being pregnant? Doctor: Hi , How are you doing ?If you are taking the birth control patch regularly without any break, then you need not worry about pregnancy. But if there is any chance that you have forgotten to use it or removed it earlier, then there is risk of pregnancy. Even if he did not ejaculate, the preseminal fluid is rich in healthy & faster moving sperms. So Pregnancy chances are still higher . If you have missed the patch & also come in contact with preseminal fluid, I would advise you to have Emergency contraceptives immediately.Hope I have clarified your query, do write back if any more queriesAll the bestDr.Balakrishnan
1,383
Suggest treatment for high fever in kid
Patient: sir my 7 years old daughter suffering from sever fever (upto 104.5 F) since 5 day. she take zenflox 200 and paracitamol twice daily. after two days fever came down to 100 F but now she is feeling very weekness and if I skip to paracitamol , after 10 hrs she have again 101F fever. what I do. pl mail me : YYYY@YYYY Doctor: Hi,Having fever since five days, she requiressome blood work to find out the cause of having fever.go for complete blood checking like TC, DC, Platelet count and S.widal for typhoid.Go for routine urine check for UTI.After reports your doctor will go for treatment accordingly.Meanwhile give paracetamol asand when required.Giveher plenty of water and liquids.Give her light diet.Ok andtake care.
169,994
Why is my daughter feeling weak, cold and sweating?
Patient: weak, cold then start swettingmy 11 year old daughter started feeling weak and cold earlier with no feaver after afew hours she started sweating as if she was sweating off a feaver but again no feaver. She also started her period a week and a half ago it lasted 5 days and ended 4 days ago Doctor: HI...feeling weak and tired and cold can occur apart from fever in certain conditions like low sugar levels, excessive blood loss in periods or in hypovolemic states. I suggest you get her examined by a pediatrician or a physician and get her vitals and blood sugar levels checked at the time of such an event occurring.Regards - Dr. Sumanth
173,979
How to get rid of lip biting habit?
Patient: Hi, I have a really bad problem with biting my lips. Last week it was so bad that when I looked at the inside of my bottom lip it was white from all the little pieces of skin that were hanging off. They heal fast, but the wounds also effect how I sound and are able to play my instrument. I need help! Doctor: Hello Repetitive lip biting may be due to some underlying anxiety. Due to underlying anxiety individual may start biting lips or chewing nails. This may progress to compulsive lip biting and may result in injury to lips and cause significant distress to individual. I would advise you to consult a Psychiatrist for help. Some times even psychological interventions like counselling and relaxation therapy help in improving the condition. Medicines like Fluoxetine, Paroxetine are very useful in such situations as they help to decrease anxiety in individual.Apply some lip balm on lips to avoid cracking from dryness.Hope this helps you, thanks
206,480
Are LSH and FSH details enough for conceiving ?
Patient: HI went for LSH & FSH test on 2 day of my periods. and result shows LSH -- 1.34 mlu/ml FSH - 0.81 mlu/ml Progesterone - 0.72 ng/ml Is everything fine with me i m really worried.Planning for a baby now after 3 months od D&C. Doctor: Hi,Welcome to HCM.You need other tests also, such as whether your tubes are patent, follicles are maturing properly and ovulation is occurring correctly, fibroids preventing conception etc. Your male partner also needs to be investigated including seminal analysis to see that every thing is alright.After the complete workup, if both you and your partner are Ok., then your gynecologist could try medicines to assist in conceiving.
6,809
Suggest treatment for sharp pain and pulled muscles in chest
Patient: My right side of my chest suddenly began to hurt this evening. It feels almost like I ve pulled a muscle, but the sharp pains seem to be random and not when I make certain movements. The pain also seems to slowly be making it s way to the center of the chest. Is this common for pulled muscles in the chest? Doctor: Thanks for your question on HCM.I can understand your problem and situation.I don't think your chest pain is due to muscle pull.Because muscular pain aggravates in certain position and movements. And it is also confined to the area of muscle , not moving to the center as in your case.So better to rule out cardiac and pulmonary causes first.So get done ECG to rule out cardiac cause.Get done chest x ray to rule out pulmonary cause.If both are normal than this can be due to muscle pull. But better to rule out other causes first.
81,178
what are the symptoms of bronchitis ?
Patient: My son is a 7&a half old month twin:) last weekend he was taken 2 hospital as he was shortness of breath:( he had oxygen in the ambulance on the way&they checked his blood sugar levels by pricking his foot I was told it were meant 2 b 5&it was 12.9.they told me that was high:( it turned out he had bronchitis...but when the doc ad come around the ward she explained everything 2 me.I asked about the high sugar levels&she had told me there was no sugar in his urine so he could home...I explained 2 her b4 leaving that he only like eating sweet puddings&would try savoury bt after 1 mouthful he would start gagging&be sick...she said that was fine.so I just wanted 2 know was she right&is there anything more I can do 2 help him? Thanks Doctor: Thank you for following up, it seems he has nasal drip and that's why he has gagging . The acute bronchitis signs and symptoms usually include:-Cough.-Production of mucus (sputum), which can be clear, white, yellowish-gray or green in color — rarely, it may be streaked with blood.-Fatigue.-Shortness of breath.-Slight fever and chills.-Chest discomfort. I suggest - Saline nasal drops;- Lozenges: Strepsils, Sualin 1 tablet 4 times - Gargling with salt water- A soft bland diet , try to avoid sugar, replace with fruits- Kuka syrup 5 ml 2 times
173,617
Suggest treatment for OCD and violent behavior in a person
Patient: My brother is 34 yrs old . he is a lawyer by profession he is practising with senior advocate in goa. for last 2/3 yrs we have shown him to 2/3 psychiatrist but have not recovered .he becomes violent keeps on arranging things in straight line and if the things get moved keeps on arranging ,not getting good sleep at night mostly keeps on moving and listening to music on his mobile and if mostly if his sisters tells or corrects him he becomes violent ,pulls sisters hair ,bangs,pushes etc pls doctor david bienenfeld pls answer, and give medication which will cure him fully. Doctor: hi, i will suggest convince him treatment and start treatment cap.flunil(20) 1-0-0 WITH good breakfast along with give him tab.torvate(300) 1-0-1 for irritability issue, with tab.lonajap(0.5) 1/2-1/2-1 for his anxiety continue treatment for 15 days and start psychotherapy for OCD.
205,239
What causes lower backache while suffering from chronic cough?
Patient: Hi, I have a problem... A few days ago started, and now is getting worse... When I m coughing, I feel a sharp pain in my lower back, and both inner tights, down to my knees. I thought might just some muscle pain, but now I barely can walk... Difficult to stand up, or even just to sit. Keeps me awake night time, I m happy if I can sleep 2 hrs in one night. What is very strange, when I m touching my inner tight, the pain moving also to my upper back. Unfortunately, staying in my tights also, just comes a bit of extra, as a back pain... Fantastic... I m working as a truck driver, so I really need some help, cos I need to use my both legs, and my back to do my job... Thank you Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.In my opinion, you need evaluation in the form of X-ray, ESR and a culture of the sputum by a doctor. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Fahim Sheik
106,764
Chest pain, opacity detected in lungs. Can it be cancer?
Patient: Hi, i was admitted to our local hospital with chest pains last weekend. They carried out various tests, one of which was a chest xray . I was given the all clear and sent home. I then received a call asking me to see my gp for further investigation. I was told that there was opacity discovered in my lungs in my xray and they wanted me to go for a ct scan? The waiting list is approx 3 weeks and i am worrying that this could be cancer . Am i being unrealistic? Doctor: hi, I would be worried if some one call me and gave me the same news as you got. Ok now lets dive in few thing that may show opacity, 1) an x-ray artifact 2) may be an old T.B patch that might have calcified and be seen as opacity in that X-RAY 3) calcium deposition due to some systemic disease 4) may be a cancer, so looking at this above the chances of cancer is 1/4 Right ? Its is very important to Take "CT SCAN" As radiologist to see in detail what are dimensions of opacity . So, Just be calm and go for the CT SCAN. This is an effort simply to release some anxiety which is seen in Your case and that completely normal to think in fashion as only the CANCER Comes in mind of every day person as a first and foremost reason.
159,001
What does migraine and vertigo after hurting the spinal cord indicate ?
Patient: Migraine for 5 days now my spinal cord has hurt i have had a migraine for 5 days now my spinal cord has hurt for 3 now i am having periods of Vertigo . i am 19 Doctor: Hi, Thanks for query, Headache you are suffering may not be migraine but there may be some infection or impacted wax in the ears. This may be the reason you ate having headache and vertigo. It is also possible that you might acute frontal sinusitis. Consult your doctor and seek advice. Ok and bye.
151,795
Does toothache return taking diclomol following root canal treatment?
Patient: Hey Sadia Here,Just had my first root canal treatment on my first molar and as the numbness wore down the pain began to come back, i took 2 diclomol and the pain has been relieved a bit, but will the pain come back before my next treatment or not ?Thank Youx Doctor: Hello,It is not uncommon to have discomfort while having a root canal since you are in the process of treating an infection. You are taking an anti-inflammatory medication which I recommend that you continue to take for relief. In addition, I place my patients on an antibiotic when discomfort occurs with root canal therapy. If you just have sensitivity after the visit, it may be a simple soreness from being work on that should settle down in 24-48 hours. If pain continues or feels worse, I prescribe Amoxicillin 500 mg. Please cotact your dentist to inquire about taking an antibiotic, dosage and length. Avoid chewing near the tooth. If you have a severe pressure building up, sometimes you need the temporary filling adjusted or removed to drain pressure inside the tooth. Sometimes your bite will be reduced to not allow any pressure to be placed on the tooth as well. Your treating dentist will advise you.I hope my recommendations are helpful. Thank you for your inquiry.
185,269
How can squamous cell carcinoma large cell nonkeratinizing be treated?
Patient: Hi Doc, My mother was diagnosed having a squamous carcinoma large non keratinizing, her age is already 51 years old, what is the best treatment we can do to fight this cancer, Also she is having a problem regading the white liquid discharge in his genitals, how can we prevent/ or lessen the discharge so that she will be comforted on the situation. thanks in advance Doctor: Dear friend, I am sorry to hear the diagnosis about cancer. Squamous carcinoma large cell non keratinzing type have a slightly aggressive course. however what we need to know here is how far has it spread. I believe its the cervical region you are talking about, then whether it has reached uterus or pelvis or any lymph nodes. Ask the doctor to get a ct scan done of the pelvis and we will be in a better position to answer the question. also about the white liquid discharge, can have many causes. the best way is for a gynecologist to examine it and see if it is infectious or tumor related. meanwhile she needs to maintain good genital hygiene in form of proper bathing, luke warm water cleaning of genital area and wearing clear tampoons. and regularly changing the tampoons. Please do not use unsterilized clothes as it can cause dangerous systemic infections. Please let me know if you have more questions. thank you
155,469
Suggest dosage of Azithral for 3.9 year kid for cold and cough
Patient: what is the dose of azithral 200 for my 3 yrs 9 months old son suffering from recurring cold and cough. att is also given to him which was completed in dec'2010. Presently he is on inhaler treatment and augmentin duo antibiotic(2 files)for his cough problem. Doctor: Hi, dose of antibiotic is dependent on the weight of child. Usually azithromycin is given in dosage of 10 mg per kg per day. Take care.
165,946
What causes a hard immobile lump on left side of neck?
Patient: Hi my name is kathleen I have found a pea size hard unmobile lump on the left side of neck and its also round. Been having alot of neck pain along with headaches its about two fingers above collor bone some times if i press on the lump it gets alittle pain full it seems like its near the musel. I had breast cancer a year ago called her 2 new they said that my cancer can come back with in a year or two and it can go to the lungs liver or kindeys. iam 53 years old should i be concerd? Doctor: HI,Dear -Kathleen.Very Good Morning from India.Thanks for your query.I understand your concerns.I studied your query in depth.-I would advise you not to worry.In my opinion its -mostly a infective lymphadenitis , as its far from the breast.If it would have been -CANCER REGROWTH-it would have been hard but painless-at the pea size stage,but being painful , its mostly infective lymphadenitis for SURE.-Treatment- a-I would advise-Tb-Antibiotic for 5 days time with Tb-NSAIDs,.The pain would go and swelling woulr reduce in 5 days time.-b- If it persists and does not regress with Antibiotic treats-then FDG PET scan guided-FNAC Biopsy of that LYmpnode would fix the cancerous nature of it.-c-PET scan would also study the spread all over body- and would rule out the cancer fear and would relieve you.-Oncosurgeon-consultation would be of lot of help to you.-Hope this relieves your worry-some query. Wellcome for anymore queries in time to come.Have a Good Day.
64,511
What prognosis is recommended for difficulty while walking post cervical laminectomy?
Patient: My brother is in emergency surgery as we speak. Cervical laminectomy and a lumbar procedure to decompress nerves. He is virtually paralyzed and waited too long to go to hospital. He couldn t walk or stand up. What do you think the prognosis is after this surgery? Doctor: Hi, Prognosis is not that much good. Most probably there may be cord involvement and thus prognosis is bad. He can go for physiotherapy and proper therapy can help to an extent. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
126,408
How to treat typhoid?
Patient: hi all, i am 25 and i found today that i am suffering form typhoid and my temperature remain between 98 an 100. i have an urgent work and i have to travel continue for next 3 days .Is it possible if i could travel and i am taking medicines from today . can i travel or should i take continue rest .. Doctor: As I am not having exact report of your widal test ( test for typhoid ), it is difficult to comment upon the diagnosis of typhoid.Secondly if the Diagnosis of typhoid is truly established, the treatment of first choice is Iv ceftriaxone injection twice a day for seven days & it is advisable to get admitted in hospital or take strict bed rest .But if your journey schedule is unavoidable you can have the oral medications such as Tab cefixime 200 mg two times a day after food for seven days along with the antacid such as cap omeprazole or rabeprazole 20 mg before food & tab paracetamol 500 mg if fever occurs. But as a doctor my suggestion would be to get admitted, take strict bed rest & have proper IV antibiotic regime.
39,506
What causes recurring lump on neck?
Patient: Hi, im a 17 year old male and maybe 6 months ago i found a lump on my neck and i went to the doctor. he game me a medication called Cephalexin and a few days later the lump decreased in size so the doctor said not to worry about it and it should go away. Today i noticed that the lump is back to the size when i first found it and i was just wondering if i should be concerned Doctor: Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-you are suffering from -lympadenitis or boil-hairfollicle.-Cause of Recurring neck- lump-It recurred may be due to incomplete antibiotic treatment ? or due to the primary focus in the draining area is not dealt with ? or could be due to the associated diabetes ,due to which the recurrence of infection could happen.-Not to worry for its recurrence and its definitely not a Cancer for sure.Hope this would help you to recover fast.Wellcome to HCM again for any more queries.Have a Good day.
64,415
Presence of prominent lymph node in test report. Can it be a sign of cancer?
Patient: A few prominent mesenteric lymph nodes are noted of questionable significance. My doctor raised her brows but didn t do any futher testing. I am worried because when I try to google it lot of people are associating lymph nodes with cancer . Can that be a cancer Could you please tell me if I need any further tests to be done and what should be that? Doctor: Hi, Welcome to HCM. I am Dr. Das. first of all you did not tell us why you went to doctor. Because in many condition mesenteric lymph nodes are identifiable including cancer but not only in cancer. So my advice is dont get tensed. if you have any symptoms related with cancer it must raised suspicion for your doctor.
159,621
How to cure rough and sensitive skin on face, around lips and nose that is usually normal ?
Patient: Hello doctor, My skin is normal in texture but now days I am dealing with rough and sensitive skin on my face, around my lips and nose. I don't know how to deal with it. I have applied honey many times on it but it is like after some time it returns to it (dryness)again. I am a dark complexion girl could you plz recommend me some homeopathic cream so my skin complexion could be improved with curing my dryness problem... Doctor: HIThank for asking to HCMI really appreciate your concern and looking to the history given here I could say that if you have rough skin of face then you can try, moisturizing agents that should contain urea and lactic acid, liquid paraffin, honey makes the skin more dry, hope this information helps you, take care and have a nice day.
9,435
Can i plan for a pregnancy after the treatment of polycystic appearance on right ovary ?
Patient: Hi, I am 26 years old woman,weight is 48 kilos and height is 5 6 . my doctor said after an ultra sound, that I suffer from mild polycistic appearance on my right ovary . she advised me take dimet 850 mg for 60 days , single dose for 7 days in the beginning and then continue twice a day to get used to the drug. however i suffered from all the side effects like diarrhea , nausea , vomiting, distaste, sleeplessness etc., and had to stop it..now I am planning my second pregnancy and really worried ..pls help :( Doctor: Hi Nam, Since you are not able to tolerate Diamet, you may consult your doctor who will prescribe alternate medicine or if the periods are regular, you may wait for a few months to see if you can get pregnant without treatment.
45,166
What is the pimple like bump on my head that bleeds on scratching?
Patient: I have this pimple like bump on my head and it's been in the exact same spot for a while now. I popped it a few weeks. And it is now a large red bump that scabs over. If I scratch it off, it bleeds profusely. The blood flows constantly, and it takes a while to get it to stop. It won't seem to heal. Doctor: Hello!Thank you for the query.The bleeding tendency is very characteristic for benign skin lesion like a mole or fibroma. In some cases, scratched mole or irritated mole can turn into malignant lesion. Therefore, I suggest you to consult dermatologist with this issue and consider removal of it.Hope this will help.Regards.
70,038
What changes does typhoid cause in knee?
Patient: hi 2 weeks back i started having severe pain in my knee and fever with chills. i was treated with 3rd generation cephalosporin but i had persistant fever with severe knee pain. now i am diagnosed to have typhoid. what changes does typhoid cause in the knee Doctor: HI,Typhoid can present with knee pain and joint pain. It is a part of the disease process. Once you are on antibiotics and the disease subsides the knee pain will also go down. Typhoid bacteria(Salmonella) take their time getting eliminated from your system. They have no long term effects on your knee unless you are a hemophiliac or very rarely you have a knee abscess. Please do not worry. You would be perfectly fine to resume normal activities like running in another week and a half.Thank you for your query.
36,061
Suggest cause for pain during swollen gums
Patient: Hi, I have pain in my tooth when i bit hard food. I checked with Dentist, he confirmed with xray that there swollen gum , but no need for Root Canal or there is no cavity as well.. he gave me mouth wash and combiflam. Question is that i still get pain while bitting Doctor: Hello,Thanks for consulting HCMRead your query , as you have painful swollen gum this can be due to periodontal problem I will suggest you to consult periodontist for clinical examination of gums and inmeantime do warm saline rinses 2 - 3 times a day and if needed go for Scaling and curretage . You can apply ointment like stolin gum paint on gums 2 - 3 times a day .Hope this will help you
182,183
Is it asthma ?
Patient: i am feeling breathless condition from last two day?2 days before i was cold.. right now i am feeling breathlessness Doctor: asthma has a clear previous history of repeated attacks. it seems a respiratory tract infection.better do a chest x ray by consulting a chest physician and treatment accordingly.
105,797
What do you suggest for staph infection?
Patient: I had a throat cu lture done on Wednesday because my throat was sore and developed a rash on my face and neck, and sparsely on my torso and extremeties. It came back Saturday as a staph infection. Should I be worried? I don't feel bad except the sore throat. Also, am I contagious? Started Azithromycin yesterday at 500 mg/day. But I've had some friends call me and say that it could be very serious... Just kinda worried! Doctor: Hello,Welcome to HCMAbout 10 to 15% of throat infections are caused by bacteria especially Staphylococcus and streptococcus.As you have started azithromycin,do not worry,the infection will come down in a week.Yes,you may be contagious.It spreads more easily in warm and humid climates between people through skin-to-skin contact with an the infected area .Also it spreads more to people having some sort of immunodeficiency.Until you finish your antibiotic course better to be isolated. I should mention that a specific type of staph, the so-called Methicillin resistant staph aureus (MRSA) is a more difficult to treat infection that is becoming more common recently.Thank you.
40,399
What causes pain in penis post surgery for kidney stones?
Patient: Hi, My brother has just had laser surgery for kidney stones under general anaesthetic & has a stent fitted for 5 - 6 weeks. He has cerebal palsy located mainly in his groin so finds it very difficult to get to the toilet quickly & get comfortable as his legs are very stiff & unbending. He now has an infection & has started with antibiotics today. He has a lot of pain at the end of his penis & is generally in a bad way. Is there anything you can suggest to alleviate his pain - he is already taking paracetamol. Is there any diet that can help him with the infection & going forward as he has been told he makes too much calcium in his body which causes these kidney stones. This is the second time he has had this operation (previously it was on his left kidney - this is his right one) & he didn t experience so much pain. The stones this time were large & took some time to laser. He has to go back for the same operation in the near future (still awaiting date) to find out if the operation worked, take out the stent & see if there are any more stones that need attacking. This means he will have to go through all this again & there is nothing I can do to help him. Any help or suggestions you can offer will be most appreciated. Kind regardsm Lita Doctor: HelloThanks for query .I feel very sorry for suffering of your brother who is already crippled .The pain in penis and while urinating is due to presence of stent and is common due to irritation of Trigone of the bladder in addition to foreign body reaction to stent .Normally it fades away once the stent is removed .As regards the second planned surgery in few weeks time it will not be so difficult like first surgery as Ureter is widely dilate due to stent making it very simple and easy to fragment the residual stone (if any ).In the mean while continue giving him appropriate antibiotics and ensure he drinks more water .As regards he getting recurrence of stone you need to get stone analysis done to know the composition of the stone so that certain dietary measures can be taken to prevent recurrence of stone .Dr.Patil.
47,609
How to prevent erection after kissing?
Patient: I m 18 and everytime I kiss my girlfriend I get an erection and when my erection goes away I can feel sperm leaking into my underwear. How can I stop that from happening ? Can I still make love to her with condom after the leaking with her NOT getting pregnant ? Doctor: HiI had gone through your query.It is possible that after drinking water you have to hold your urine for longer time.It is natural processes.kissing can cause excitement and due to secretion of testosterone occur from body it is sex hormone and due to that you have erection.Yes you can make a love and enjoy.No need to worry.It is common and natural.still have a query then feel free to ask.Thank you.
201,684
How can foot injury causing swelling with toe bruising be treated?
Patient: I fell down the stairs 3 days Ago And the top of my foot is swollen I Have Little black and blue bruises around my middle toe and the toe closest to the big toe , the swelling around the toes has went down a little bit , I m aunt says its not broke because I would of been in alot of pain , from a rate to 1 to 10 1 being the lowest and 10 being the highest its around 7 when putting pressure on it , but when I Walk up the stairs the pain Is About 9 should I go to the hospital ? Doctor: Here as per your explanation I suggest even if there is no clear fracture then also there are chances of hair line crack in your bone so I suggest visit hospital take x ray and take consultation with ortho doctor. Here if there is no crack then also you need to immobilize your ankle and feet for some days to allow soft tissue healing. As well if there is fracture or hairline crack plastering and immobilizing your ankle is must. One more thing here you need to check is whether the bruises on your toe is reducing or it is as it is. If its not reducing then there may be problem with vascularity also which need to be checked properly.In the end my suggestion is do visit the hospital take x ray and visit orthopedic and take needed treatment. If there is nothing major in side ankle, foot, toe then ortho doctor may guide you for physio treatment for early soft tissue healing.Take care.
139,202
Suggest treatment for lump running through the veins in legs
Patient: hi why do i have something like air bump, like a ball rolling in my lower left leg, it happened few times when i wake up in the morning and stretch my legs. It was so painful, i feel like the bump/ball is running thru my veins that my veins would break, then after that i will see a dark spot on the area where it occured, something like contusion or blot clot. Hope u could help me.thanks Doctor: Hi,It seems that you might be having Varicose veins giving this problem.Due to improper circulation you might feel this problem.consult your doctor and get examined.After physical examination, plan of treatment can be decided.Ok and take care.
67,614
What causes tingling in middle of chest, arm and head?
Patient: When I try to fall asleep I get a tingle that starts in the middle of the chest and moves out to my arms and head. When I open my eyes and take a deep beath it gose away till I try to fall asleep again.Any Idea on what I can do to stop this?I'm 32 Male 5'11" 240lb Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Chest and arm discomfort in night is commonly seen with heart diseases. So we should first rule out heart diseases in your case. So first get done ecg and 2d echo. If both these are normal then no need to worry for heart diseases. Sometimes, uncontrolled stress and anxiety can also cause similar symptoms especially in night. So avoid stress and tension, be relax and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
76,060
What causes elevated liver enzymes?
Patient: My latest lab work shows my GOT/AST to be 210 and my GPT/ALT to be 364 and my AlK/Phosphatase to be 228. I am scheduled for an ultrasound of the liver and then follow-up with a GI Doctor. I had Hepatitis when I was a child. I am 65 y.o. I take Simvastatin for cholesterol and rarely drink. Last Dec my results were 22. 18 and 65 for the above tests in the same order. Any thoughts. Doctor: Hi, Your liver enzymes value raised more than two folds. So, suggestive of liver hepatocytes injury by inflammation or toxin. I suggest you investigate with hepatitis profile, USG abdomen for primary work up. If it is normal than drug-induced liver inflammation might be the reason. So you can stop mentioned drug temporary. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician
52,325
Abdominal pain, high fever. CT says Inflammatory Bowel Disease. Can inflamed colon be due to finger insertion in anus ?
Patient: I had abdominal pain and a high fever for 2 days. I went to my doctor, and he had me get a CT scan to rule out appendicitis . When I got the scan today, the doctor there said that it is likely that I have Inflamitory Bowel Disease, but that we would need some tests to rule out amoeba (I just got back from traveling Japan). My question is Could an inflamed colon be caused by inserting a finger lubed with anti-bacterial soap in your anus? Doctor: Hello, Jenkons , Sudden onset of fever, abdominal pain and history of recent travel may be indicative of some form of intestinal infection. I do not believe that cleansing your anus with antibacterial soap had anything to do with this. Your doctor is right in suggesting stool tests to rule out parasites etc. I am not sure if you are also having diarrhea or bloody stools. In general, Inflammatory bowel diseases include ulcerative colitis, crohn's disease. Bacterial and parasitic conditions can also cause this type of change on a CT-scan. Follow your doctor's advise. Wish you well,
94,911
Can Candida infection be contagious? Does this lead to constant mucus production?
Patient: Hello, my name is Vugar. I am suffering from bad breath over two years now and my doctor had told me that i have yeast infection and sinus infection. Now my girlfriend has started having bad breath. Do you think this could be a result of contagiousness or? Can candida be contagious? Please help. I also have mucus attack and constant need to swallow. There are swollen parts in my throat too. Thanks for reading ! I will be waiting for your respond! Doctor: Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that, yes candida is contagious infection. But candida usually occurs in persons whose immune system is suffered like HIV, Diabetes, Prolonged antibiotic treatment. I advice that you and your girl friend should tested for HIV. You can take the fluconazole tablet for the yeast infection kindly take it under doctors guidance.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease.
37,880
What does a lump in the chest indicate?
Patient: Hello I went for a pre-employment x-ray today at work the boss told me that the nurse needed to speak with me tomorrow. So I went on in to work my shift and began to worry. I have a small not not knot in the middle of my chest that is squishy and moves when touched. Could that be the reason the nurse wants to speak with me.? Would that show up on a chest x-ray? Just really nervous but I feel if it was really serious they would not have let me work. Please help and thank you! Doctor: Hello,There are many reasons for lump in chest as sebaceous cyst, lipoma or else which usually does not show up in x-ray chest unless it is very large, where it can be shown up as shadowing effect of soft tissue.As per my clinical experience, this should not be a hurdle for employment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel
60,891
What does disc osteophyte complex in this report mean?
Patient: At C5-C6 there is a disc osteophyte complex which which is prominent in the right paracentral region. This is effacing the ventral thecal sac in the right paracentral region and flattening the right anterior cord. What does this mean and what symptoms does this cause? Doctor: It is a sign of sponylosis. You feel tingling and numbness in your hand n arms.back pain.also initially you might feel burning sensation in hands.
146,201
Could abdominal pain be due to diagnosed rectal polyps?
Patient: I have been diagonised for rectal polyps a year before and not yet removed.now I have pain in belly right amd center part may that be because of the poly? I have no fever,no vomiting amd the pain starts usially in the afternoon and comtonoue till midnight for more than 2 months . How about the baloon mattres does it may be acaise? Tthank you Lo Doctor: Hi, You have already been diagnosed for rectal polyp . Plenty of times these conditions are symptomatic and goes unnoticed but once it become symptomatic it requires treatment . In few case they have also showed malignant potential . Baloon matress have no role in its formation . Mostly they are idiopathic ,genetic sometimes,..... So as you are symptomatic to it you should undergo surgical excision biopsy for it. Thanks n regards
91,976
How to quit masturbation?
Patient: Question about Health Condition...?My health condition is too much bad. I do Masturbation lot of time. I feel tired everytime. And due to too much masturbation, I have a disease of ocd and my thoughts are too much furstrate me.I stop my Masturbation habit, but I cannot stop it. Plz solve my this great problem.Plz tell me its solution as soon as possible.I am greatful to you for this . God bless you at everytime and everywhere. Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I understand your concern about masturbation. Masturbation itself does not cause illness of OCD (obsessive compulsive disorder). You probably have compulsive masturbation (You have to do it rather than for sexual pleasure and satisfaction). This needs psychiatric consultation and treatment. When patients with same problem come to me, I prescribe them Cap Fluoxetine with Clonazepam. I also suggest behavior therapy. This needs medical supervision. Kindly consult a psychiatrist nearby in your area. You will get well soon.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chintan Raval
196,694
What causes mid back pain after an injury?
Patient: I fell very hard on tile floor when I slipped on water. My bottom hit very hard and now I have tremendous pain in the middle of my back. I really thought that it was my kidneys. There is no blood in my urine and no pain when I urinate but the pain is intense. What could be causing this mid back pain? Doctor: Hi,Welcome to healthcare magic.After going through your query I think You are suffering from acute backache after injury.Treatment of it is rest and analgesics . Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics . There are three possibility ,one is simple muscle injury,second is disc prolapse and third is compression fracture of vertebra. To further investigate MRI of the region is advised. I think your query query answered.Welcome to any follow up query.
110,123
Suggest treatment for Parkinsons disease
Patient: My husband has Parkinsons Disease--is 86---he has red spots on his arms and face --more like red splotches--some darker in color than others. He now has some on his face. Syphilis has been ruled out. And the red spots are getting progressively worse. These splotches started slowly approximately 18 months ago and have not had any treatment or diagnosis. Doctor: As you mentioning, such red patches over skin/face are not a fature if Parkinsons disease. For that you need to consult a dermatologist. And for parkinsons disease, consult a neurologist. Medication of parkinsonism will be decided by taking full hisoty and examination. Though parkinsons dissease is a degenerative progressive disaese, but now medicine are available to keep patient day to day life kuch easier ad better and in some cases surgery is also required
144,676
What causes severe abdominal pain during my periods along with nausea and diarrhea?
Patient: I have been having severe abdominal pain w/ my period. nausea and diarrhea. This has happened the last two time, yet never before. what could be going on? I also feel a pinching near my ovaries. Could cysts be causing this? I have had a few ovarian cysts. I am 29 y/o one positive pap for hpv 5 years ago, all negative since, every 6 months. currently i do not have insurance and am a full time student and do not know what to do. Doctor: Hi dear,Most patients with ovarian cysts are asymptomatic but in some patients they can cause abdominal pain, nausea, vomiting, bowel disturbance, frequent urination, indigestion etc depending upon the size of the cysts and the pressure that the cyst impose on the adjacent organ.Another chances for your problem is ovarian tortion and cyst rupture as you have cysts diagnosed.Tortion is the twisting of ovarian pedicil which cause to decrease or obstruct the vascular supply to ovary and cause infarction. Cyst rupture is another condition: it is characterised by sudden sharp pelvic pain, usually specific to one side. Abdominal trauma and anti-coagulation medicine are the risk factors for this, so if you had history of abdominal trauma we can suspect this.All the above can be diagnosed using appropriate imaging studies. So if you have severe pain you can discuss with your doctor , from there you will be guided after a final diagnosis. You should continue the HPV monitoring as you are doing now.With thanks
87,568
What causes difficulty in taking deep breath?
Patient: My 9 year old daughter is saying she sometimes feels like she cannot take a deep breath. She is not wheezing, that I can tell, and this passes, usually after resting or sleeping. She is on daily zyrtec and has no history of asthma before. She does not complain of any other symptoms with this. Doctor: Hello.Thank you for asking at HCM.If your daughter is not wheezing, not having fast breathing and not coughing, you should not worry about asthma at present.Feeling of not able to take deep breath can be due to nasal obstruction. Common causes can be allergic rhinitis, chronic sinusitis, or adenoids. I guess she is taking daily Zyrtec for allergic rhinitis. If she is feeling nasal obstruction I would suggest her to take montelucast along with Zyrtec for 2 weeks. If this does not improve, I would suggest to consult a pediatrician who will examine her in detail and may suggest her some investigations to identify the cause.Hope this will be helpful to you.Wish your daughter the best of the health.Regards.
101,371
Suggest treatment for dryness in the skin
Patient: I have long term problem with went to dermatologist who prescribe onabet b cream said its dry skin when irritation start after scratching skin becomes very red also feels thickened{inflamed} in that part plz recommend how should I use this meds before seeking 2nd opinion Doctor: Hi,As you said you suffer from dry skin..may be xerosis. Due to dryness,there may be itching. Scratching might lead to erosions and secondary bacterial infection. You consult dermatologist for firm diagnosis.Blood tests may be done to rule out anaemia,DM,HIV,thyroid dysfunction, renal and other internal diseases.There may be genetic tendency.Moisturing cream may be applied in the morning. Mild steroid cream may be used at night. Soap bath should be avoided. Antihistaminics like levocetirizine may be taken to relieve itch. If needed, steroids in tappering dose may be considered.You might feel better after few weeks treatment.I hope you got my answer.Thanks.Dr. Ilyas Patel MD
9,292
High ferritin count in the blood test. How can I lower the iron in blood?
Patient: i have high ferritin count in my blood test 350, I eat super healthy food no meat but lots of greeen leafy vegetables like kale quinoa, nuts and dried fruits, I drink a few glasses of red wine every night, I am more of a vegeterian, I have stopped eating rice and gluten for the last 6 weeks, so my main food is salmon, vegetables, lentils chickpeas, eggs.how can I lower the iron in my blood what food should I eat do I need to stopdrinking red wine? please help Doctor: hi Ferritin is a test that makes people having anxiety but in our medical world it is the most useless test,cause it increases with any and every stress like fever, stomach problems, liver problems..very high levels in autoimmine diseases .... Ferritin concentrations increase drastically in the presence of an infection or cancer; this is necessary to counter the infective agent's attempt to bind iron from the host's tissue. The inflammatory response may cause ferritin to migrate from the interstitial space to plasma, elevating the serum ferritin level...high value of ferritin is 200....... it you want to see your iron status ...TIBC,total iron....anf forget about ferritin 350...... take care
119,093
What could be the reason behind burning,pain between shoulder blades,skin sensitivity on chest,internal itching for a patient with multiple myeloma and diabetes?
Patient: Is there such a thing as Shingles without a rash? My husband has all the symptoms (burning, stabbing pain between shoulder blades, skin sensitivity on chest and under arms, internal itching) but he has no rash! What can this be? He also has multiple myeloma and diabetes. Doctor: Initially pain can appear in Shingles and latter rash can occur. pain is high. Just itching is rare both can occur together. if no rash then it is not shingles. He needs to be checked for other conditions, fungal infections commonly cause itch, also parasitic infestations, both need to be excluded
156,944
What causes lower back pain?
Patient: I have a lower back problem. It started one day at work. the pain was first in my knee, then it started to move into my buttocks and down my leg. is this unusual for a back injury. when i first got injured i reported the pain in my knee, because that is where i felt the pain. over time like i said the pain got much worse Doctor: HiThank you for asking HCMI have gone through your query.Your problem can be sciatica due to nerve compression from lumbosacral spine.It arises due to injury of intervertebral disc.Other cases which the pain you described can occur is referred pain from knee or hip joint.A thorough orthopedic examination is necessary to rule out this.A X ray followed by MRI might be required in case of any positive findings.For such cases i advise NSAIDs like aceclofenac , muscle relaxants like cyclobenzaprine and neurotropic drugs.I also advise physiotherapy and muscle strengthening exercises along with this.Hope this may help you.Let me know if you have any further queries.Thanks.
109,289
What causes moderate pain behind left knee?
Patient: I have been walking quite a bit (for fitness) lately. I have a fissure on my left, lateral knee cap but I have no pain at all. . Today I have moderate pain behind my left knee. What could this be? Should I stop walking? AND I am insulted that the Symptom checker states that this is most likely menstrual cramps! Doctor: This could be something simple like an inflamed tendon. Apply a little ice and take a simple over the counter medicine like ibuprofen. I think it will settle down. Nothing to worry about. best wishes Adrian Rawlinson MD.
137,977
Brown discharge after ovulation, is this normal ?
Patient: I have brown discharge that seems to constantly happen around 10 days after ovulation . Sometimes it lasts a few days, then goes away, sometimes it lasts until my period (I have 27 day cycles and ovulate on day 10 or 11). My husband and I are seeing a fertility specialist because we haven t been able to get pregnant for almost 2 years of trying. I have had my progesterone levels checked for the past few months, and the numbers indicate all is healthy and well. However, I ve always had a sneaky suspicion that the brown discharge could be contributing to my infertility . Any thoughts? Doctor: hi welcome to Healthcare Magic Normal ovulation takes place on 14th day of cycle.. there is also some mucus secreted during that period.. yours discharege can also might be physiological.. as the other harmonal reports are normal , nothing much to worry.. to find the cause for infertility you needed to be clinically evaluated..
45,215
What is the treatment for pain in the lower back and testicle?
Patient: pain in my lower back ,that travels down to my testicle. my dr. has checked my prostate took a script of cypro antibiotics.had polyps removed from my colon. my dr. has me on muscle relaxers and tramadol for pain,but with no dianogis. I have been hurting for 5 wks. Doctor: HiI understand your concern.Testicular pain can needed assessment by scrotum color Doppler.Color Doppler can ruled out underlying pathology in testis.back pain has many reasons.Analgesic with physiotherapy can help.MRI spine is also indicated if not improved with medicines.Consult and get help.Still have a quetions then feel free to ask.Thank you.Get well soon.
201,694
Penis problem with brain inactivity
Patient: sir, iam 18 years old i have a problem that last year i mastabuted,after 3rd mastabutation my penis stopped working my brain too stopped working from child iam an active guy in all activities.sir please help out of here due to this problem iam getting irritated and frustation my penis not working ,due to this i lost soo many things in my life Doctor: DearWe understand your concernsI went through your details. Ridiculous. I think you are over exagerating. You masturbated thrice last year and on the third masturbation your penis stopped working. Now for the last year completely you were worrying about your not-working-penis and did not do any treatment for that. Dear, you are being anxious about your sexual organ. That could make you impotent. I think that has happened here. You might need sexological counseling or psychotherapy to put you in normal course.Hope this answers your query. Available for further clarifications.Good luck.
202,939
What do bumps on taste buds indicate?
Patient: Hi Dr. Samuel. My mom is having some bumps on her tongue particularly on taste buds area and feeling burning but no pain. She can swallow food with no problem and she is so concerned about cancer. Since she is in third world country, the dermatologist did not give any comment about her symptoms beside giving her fish oil, vitamin c and antibiotic which is every 5 days! Please let me know what are possibilities. Doctor: THANKS FOR YOUR QUERY,I HAVE GONE THROUGH YOUR QUESTION,The bump or swelling over the tongue could be because of the enlarged circumvellate papillae or it can be because of enlarged taste buds(papillitis) or secondary to trauma..the burning could be because of the depapilated tongue or a traumatic ulcer or candidal infection....consult a oral physician for complete examination and proper management...maintain good tongue brushing and maintain hygienei hope my answer will help you..
187,309
How to get rid off back, body pain on having fibroids?
Patient: Im in my mid 40 and have fibroids. For the last two days i ve had a dull pain on the lower left side. When i lean backwards the pain becomes sharp. I cant lay on my left side without intensifying the pain. when i lay down on my back it just feels as though there s pressure on my left side. Doctor: HiFor your acute pain you need to have analgesic injection and then to continue with tablets and then you need to get ultrasonography done for your pelvis to know the status of fibroids and based on that it has to be decided weather to treat conservatively or to excise it.Get well soon.Thank you.
111,975
How to treat pain in lower abdomen?
Patient: My husband has pain in his lower abdomen. It is tender to the touch. He has a slight fever 99.2. Last evening he had a rash on his buttocks. There was a red spot in the center with pink around it the size of a half dollar. That seems to be going away. Doctor: Hi and welcome to HCM, This may due to some enteric fever or gastroenteritis. Take a course of antibiotics and Paracetamol. If you experiencing pain in right iliac region it may be due to appendicitis. Ultrasound of abdomen and Blood widal test is recommended for your conditions. For rash you can apply topical lotion. Wish you speedy recoveryThanks
92,028
Does kidney disorders make legs extremely swollen?
Patient: My legs are extremely swollen. My blood pressure is 150/100. I am 5 foot 2 inches at 185 pounds. I had a stroke less than a year ago from an AVM for a total of 3 craniotomies. I have a VP shunt for hydrochephalus from the stroke. Should I be concerned? My kidney function lab work was elevated slightly about a month agoo. Doctor: Hi, dearI have gone through your question. I can understand your concern.You are swollen leg. It can be due to kidney disorder or cardiac disorder. You should go for complete kidney function test as well as echocardiography once. You also need to control your blood pressure because diastolic blood pressure of 100 is very high. SO consult your doctor and t accordingly.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health.
46,952
Can lobotomy be used to commit rape which can be detected at a later stage?
Patient: Has the use of a lobotomy ever been used to commit rape? Can a lobotomy be detected 25 years later if it had been done? A friend claims to have been a victim of rape and the rapists used an ice pick lobotomy to make her more manageable. Is that possible? She claims she wasn t taking drugs but had been drinking when this occurred if that matters. Doctor: Hello and welcome to HCM forum ,I shall be happy to help you in the best of my capability .A lobotomy is a highly precise psychoneurosurgical procedure in which the nerve pathways in a lobe or lobes of the brain are severed from those in other areas. It is done only in rare and severe psychiatric cases where conventional methods do not yield the desired results .It is possible to identify a post lobotomy procedure through an MRI of the brain.I disagree with your friend ,an ice pick would hardly be the the right tool for a lobotomy .If an Ice pick was to be used it would cause serious and pemanent damage not only to her brain but also visible lacerations and scarring too .A lobotomy effect is easily visible to the attendants as there is a very marked change in behaviour and affect of the patient .You should take your friend to a Neurologist as she seems to be suffering from some definite psychiatric disorder .Hope it helps .
97,737
What causes severe stomach pain?
Patient: Every now and then my body aches like it would if I were coming down with the flu, but then it goes away a few hours later. But I'll feel like I'm running a fever and my body just aches and aches. Also, it seems like the same time every evening my stomach gets really bloated and I have severe stomach pain. What could be the cause of this? Doctor: Hi ! Good evening. i am Dr Shareef answering your query.Possibly you have got a stomach infection which is causing the stomach pain, and the body ache due to the reactive fever. If I were your doctor, I would advise you for a routine stool test for ova and cyst, and advise you for an appropriate antibiotic and a probiotic which should solve your problem. At the same time I would also advise you not to eat from outside if you do, as stomach infection could easily creep in from unhygienic food from outside.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
90,726
Burning, irritated tongue for months. Taking omeprezole, using asthma inhaler. Solution?
Patient: I have been having "burning, red (raw), irritated tongue" for several months. I take over the counter omeprezole for severe heartburn (I was taking prescription Prilosec).... My doctor and I thought it could be "thrush" because I also use a 2x daily asthma inhaler Advair Discus, and I take when needed, Combivent resprimat inhaler. I believe it is mostly the Advair discus, but I'm rinsing my mouth every time...so, now I'm thinking it may be the omeprezole (20 mg) over the counter.... Doctor: Hello,Thanks for posting on HCM,It is possible that oral candidiasis is the culprit but by physically examining your tongue the doctor should be able to see the lesions as they are hardly unnoticeable. I think you might rather be having viral GI infection which could affect your tongue, oesophagus, stomach etc and present with symptoms of heartburn. Advair Diskus can cause adverse effect of oral candidiasis and viral GI infection. Those two possibilities are likely. I feel you should consider stopping advair diskus and consider taking another alternative. You might require antiviral treatment such as acyclovir to get rid of this infection and also mouth was solutions. Spaying advair diskus and rinsing your mouth each time does not mean that part of it did not stick to your mouth or gut. Just as a precaution, your doctor can initiate treatment with antifungal agent.Hope this helps
103,062
Is discontinuing Syndopa advisable to avoid its severe adverse effects?
Patient: My grandfather was diagnosed with parkingson s in india 3 years ago and he has been taking syndopa which is causing more harm than help, and whenever we forget to give it he seems to be back to his old self, and is less rigid and has fewer hallucinations. is it dangerous to take him off the medicine for three days to see if he improves without it? Doctor: Hi, Hallucinations are common side-effects of Syndopa. If however, you are sure that his motor symptoms like gait and shaking are better after stopping Syndopa, it can be stopped. However, I would recommend meeting a neurologist. suddenly stopping Syndopa can be dangerous. it has to be tapered off gradually. I would also recommend that you meet a neurologist in a centre where they do DBS. If his symptoms are not that serious I think that may be an option. I have tried to make it as simple as possible. Hope I have answered your query. Let me know if I can assist you further.
141,155
Suggest treatment for severe neck pain
Patient: I had bronchitis last week and was given a z-pac (at first the doc thought I had penumonia as my son had been in the hosptial for influenza virus). My cough has gotten better along with congestion, however I have a terrible neck pain. Should I be concernedc? Doctor: hishow an orthopedic doctor, it could be simple neck sprain or spondylosis, take advil tabs, use muscle relaxant gel application after hot fomentatio, avoid jerks to neckbest wishes
136,010